JEDIDIAH POLETE (NPI# 1336560028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336560028 |
| Entity Type | Individual |
| Full Name | JEDIDIAH POLETE |
| Credential | CRNA |
| Practice Address |
129 W Lake Mead Pkwy Suite B18 Henderson NV 89015-6954 |
| Mailing Address |
1444 Peterman Dr Suite B18 Alexandria LA 71301-3432 |
| Practice Telephone | 7025644440 |
| Practice Fax Number | 7025581522 |
| Mailing Telephone | 7025644440 |
| Mailing Fax Number | 7025581522 |
| Enumeration Date | 2013-12-23 |
| Last Update Date | 2017-02-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | AP09081 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
129 W LAKE MEAD PKWY SUITE B18 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89015-6954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023000270 | Raman S Grewal | Anesthesiology | 129 W Lake Mead Pkwy, B-18, Henderson, NV 89015-7055 | 2005-08-15 |
| 1124643515 | Crystal Lynn Sanders | Counselor | 129 W Lake Mead Pkwy, Henderson, NV 89015-6954 | 2020-06-11 |
| 1104281328 | Stephen Bybee | Registered Nurse | 129 W Lake Mead Pkwy, Suite B-19, Henderson, NV 89015-6954 | 2015-12-15 |
| 1669897070 | Larissa A Mcham | Physical Therapist | 129 W Lake Mead Pkwy, Suite 2, Henderson, NV 89015-6954 | 2014-02-20 |
| 1013348754 | Jason L Melton | Physical Therapist | 129 W Lake Mead Pkwy, Suite 2, Henderson, NV 89015-6954 | 2013-12-05 |
| 1235484981 | Matthew Lee Rigby | Nurse Anesthetist, Certified Registered | 129 W Lake Mead Pkwy, Suite B18, Henderson, NV 89015-6954 | 2012-07-18 |
| 1013205830 | Jaime Parke | Nurse Anesthetist, Certified Registered | 129 W Lake Mead Pkwy, Suite B18, Henderson, NV 89015-6954 | 2011-07-13 |
| 1174825913 | Natalie J Lewis | Nurse Anesthetist, Certified Registered | 129 W Lake Mead Pkwy, #b-18, Henderson, NV 89015 | 2010-11-30 |
| 1285869669 | Michael Douglas Dixon | Nurse Anesthetist, Certified Registered | 129 W Lake Mead Pkwy, Suite B-18, Henderson, NV 89015-7055 | 2009-05-28 |
| 1851538615 | Christopher B Lloyd | Nurse Anesthetist, Certified Registered | 129 W Lake Mead Pkwy, #b18, Henderson, NV 89015-7055 | 2009-01-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225503238 | Holly Abarca | Home Health Aide | 212 Shoshone Ln, Henderson, NV 89015 | 2018-10-05 |
| 1184111890 | Pain Center of Henderson LLC | Pain Medicine | 98 E. Lake Mead Pkwy. Suite 202, Henderson, NV 89015 | 2018-04-18 |
| 1124528963 | Edson Jeam Arredondo | Chore Provider | 160 E Horison Dr Ste A, Henderson, NV 89015 | 2018-02-19 |
| 1558879569 | Robin Harvey | Rehabilitation Practitioner | 203 S. Water St # 200, Henderson, NV 89015 | 2018-01-12 |
| 1477064368 | Chris Mcdonald | Counselor | 220 E Horizon Drive, Suite H, Henderson, NV 89015 | 2017-10-18 |
| 1649792565 | David Blake | Case Manager/Care Coordinator | 522 E. Lake Mead Parkway, Suite 5, Henderson, NV 89015 | 2017-07-12 |
| 1457726135 | Ozioma Chiebuka Nwosu | Nurse Practitioner | 200 E Horizon Dr Ste A, Henderson, NV 89015 | 2015-12-07 |
| 1770962839 | Myesha Nicole Butler | Counselor | 16 W. Pacific Street, Ste. 2, Henderson, NV 89015 | 2015-05-22 |
| 1629469424 | Felicia Suberville | Behavioral Analyst | 236 Red Horizon Terrace, Henderson, NV 89015 | 2015-02-16 |
| 1144618349 | Dinesh Bharwani | Physician Assistant | 270 West Lake Mead Parkway, Southwest Medical Associates, Henderson, NV 89015 | 2014-12-23 |
| Find all providers in zip 89015 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790308500 | Advanced Practice Pain Management and Anesthesia Consulting Pllc | Nurse Anesthetist, Certified Registered | 317 Wilson St, Henderson, TX 75652-5957 | 2020-05-27 |
| 1386201374 | Jennifer Hope Roark | Nurse Anesthetist, Certified Registered | 566 Ruin Creek Rd., Po Drawer 59, Henderson, NC 27536-2927 | 2019-05-24 |
| 1629108105 | Mary Elizabeth Hoversten | Nurse Anesthetist, Certified Registered | 1020 S Eastern Ave, 230, Henderson, NV 89052 | 2007-03-06 |
| 1386270460 | Jacob Keith Poe | Nurse Anesthetist, Certified Registered | 566 Ruin Creek Rd, Henderson, NC 27536-2927 | 2020-03-20 |
| 1639670466 | Henderson Hospital, LLC | Nurse Anesthetist, Certified Registered | 300 Wilson St, Henderson, TX 75652-5956 | 2018-02-27 |
| 1396089611 | Tami B May | Nurse Anesthetist, Certified Registered | 566 Ruin Creek Rd, Henderson, NC 27536-2927 | 2012-11-27 |
| 1235484981 | Matthew Lee Rigby | Nurse Anesthetist, Certified Registered | 129 W Lake Mead Pkwy, Suite B18, Henderson, NV 89015-6954 | 2012-07-18 |
| 1225309628 | Michael R Hagerman | Nurse Anesthetist, Certified Registered | 1305 N Elm St, Henderson, KY 42420-2783 | 2012-01-18 |
| 1013205830 | Jaime Parke | Nurse Anesthetist, Certified Registered | 129 W Lake Mead Pkwy, Suite B18, Henderson, NV 89015-6954 | 2011-07-13 |
| 1174825913 | Natalie J Lewis | Nurse Anesthetist, Certified Registered | 129 W Lake Mead Pkwy, #b-18, Henderson, NV 89015 | 2010-11-30 |
| Find all providers in HENDERSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.